Active NPI
Abraham John, BDS
- Dentist
- Lake Worth, TX
National Provider Identifier
1215811997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 41993
- Practice address
- 6552 Lake Worth Blvd
Lake Worth, TX 76135-3002 - Phone
- (682) 350-4200
- NPI assigned
- Aug 4, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 41993 | TX | Primary |
Addresses
Primary practice location
6552 Lake Worth Blvd
Lake Worth, TX 76135-3002
Mailing address
538 Hillview Rd
Mobile, AL 36608-3846
Phone (832) 570-0626
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41993 | TX | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1215811997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "538 HILLVIEW RD",
"city": "MOBILE",
"state": "AL",
"postal_code": "366083846",
"telephone_number": "832-570-0626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6552 LAKE WORTH BLVD",
"city": "LAKE WORTH",
"state": "TX",
"postal_code": "761353002",
"telephone_number": "682-350-4200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHN",
"first_name": "ABRAHAM",
"name_prefix": "Dr.",
"credential": "BDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-04",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "41993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.